A change of aging related to the circulatory system includes decreased blood vessel elasticity. For what should the nurse assess?
Hypertension
Confusion
Retained secretions
Tachycardia
The Correct Answer is A
A. Hypertension: Decreased blood vessel elasticity can lead to increased vascular resistance, resulting in hypertension.
B. Confusion: While confusion can result from poor circulation, it is not a direct result of decreased blood vessel elasticity.
C. Retained secretions: Retained secretions are more related to respiratory issues rather than circulatory changes.
D. Tachycardia: Tachycardia is an increased heart rate and is not a direct result of decreased blood vessel elasticity.
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Related Questions
Correct Answer is B
Explanation
A. The darker the patient's skin, the easier it is to assess for color change. Darker skin can make it more challenging to assess color changes, such as pallor or cyanosis.
B. To assess rashes and skin inflammation in dark-skinned individuals, the nurse should rely on palpation. Palpation can help detect changes in texture and warmth, which might be less visible on darker skin.
C. Pallor in black-skinned individuals will appear as a pale pink color. Pallor in dark-skinned individuals often appears as an ashen or gray color, not pink.
D. Baseline skin color should be assessed in areas with the most pigmentation. Baseline skin color should be assessed in normally less pigmented areas like palms and soles for accurate assessment.
Correct Answer is C
Explanation
A. "Usually in about 2 hours, but the effects will return in 2 to 3 days." The acute effects of amphetamines typically last longer than 2 hours, and there's no consistent return of effects after 2 to 3 days.
B. "She will snap out of it in a day or two." This response is not accurate and lacks sensitivity. The effects of an overdose need careful medical monitoring and do not simply "snap out."
C. "Usually in 8 to 10 hours." The acute effects of an amphetamine overdose generally subside within 8 to 10 hours, depending on the amount taken and individual metabolism.
D. "The manifestations may be permanent." While severe complications from an overdose can be long-lasting, the acute effects typically subside within hours, not permanently.
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